Buoveret's Syndrome – Rapid sonographic and endoscopic diagnosis

Problemstellung: Duodenal obstruction due to biliary stones was first noted in 1896 by Buoveret. We describe a rapid diagnosic procedure in patients with gall stone induced obstruction of upper GI tract by ultrasound and upper GI endoscopy. Methode: Patient 1: A 84 year old woman presented with vomiting for several days and epigastric pain. By sonography dilatation of both stomach and duodenum was found. Ileus-like dilatation of proximal jejunal loops could be followed up to an obstructing echogenic lesion. In bile ducts aerobilie was demonstrated, gall bladder showed aerobilie as well as gall stones. By upper G…